Rhinitis Allergic
ʻO ka rhinitis Allergic kahi hōʻailona e pili ana i kahi hui o nā ʻōuli e pili ana i ka ihu. Kū kēia mau ʻōuli ke hanu ʻoe i kahi mea āu e maʻi ai, e like me ka lepo, dander holoholona, a i ʻole pollen. Hiki pū kekahi nā ʻōuli ke ʻai ʻoe i kahi meaʻai āu e maʻi ai.
Kuhi kēia ʻatikala i ka rhinitis alerika ma muli o nā pollens mea kanu. Kāhea pinepine ʻia kēia ʻano rhinitis āpau i ka hay fever a i ʻole ka allergy kau.
ʻO kahi alena kahi mea e hoʻoulu ai i kahi alapiʻi. Ke hanu kekahi kanaka me ka rhinitis āpau i kahi mea hoʻohuihui e like me ka pollen, punahelu, dander holoholona, a i ʻole ka lepo, hoʻokuʻu ke kino i nā kemika e kumu i nā ʻōuli o ke alapiʻi.
Pili ke kuni Hay i kahi hopena maʻi i ka pollen.
ʻO nā mea kanu ke kumu o ka fiva hay ka lāʻau, ka mauʻu, a me ka ragweed. Hāpai ʻia kā lākou pollen e ka makani. (Lawe ʻia ka pollen pua e nā kolo a ʻaʻole kumu o ke kuni hay.) ʻAno nā ʻano mea kanu i kumu i ka fiva hay mai kēlā me kēia kanaka a mai kēlā a me kēia wahi.
Hiki i ka nui o ka pollen i ka lewa ke hoʻopili inā paha e ulu nā hōʻailona huhū ʻaʻole paha.
- ʻO nā lā wela, maloʻo, makani ka nui o ka pollen i ka lewa.
- I nā lā anuanu, pulu, ua, holoi ʻia ka hapa nui o ka pollen i ka honua.
Holo pinepine ka maʻi ahulau a me nā maʻi āpau i nā ʻohana. Inā loaʻa ka maʻi kuni hay a i ʻole nā maʻi āpau ʻē aʻe i kou mau mākua ʻelua, loaʻa paha ʻoe i ke kuni huhū a me nā maʻi ʻino pū kekahi. ʻOi aku ka kiʻekiʻe inā loaʻa nā maʻi āpau i kou makuahine.
ʻO nā ʻōuli e kū koke ma hope o kou hoʻopili ʻana me ka lāʻau āu e maʻi ai e komo pū paha:
- Ka ihu ihu, waha, maka, ʻāʻī, ʻili, a me nā wahi ʻē aʻe
- Nā pilikia me ka pilau
- Mū ihu
- Kaheʻe
- Maka maka wai
Nā ʻōuli e hoʻomohala ma hope me:
- Ihu Stuffy (nasal congestion)
- ʻ Clelo huna
- Pepeiao pepeiao a hoʻemi i ke ʻano o ka pilau
- Eha ka 'ā'ī
- Nā pōʻaiʻeleʻele ma lalo o nā maka
- Puffiness ma lalo o nā maka
- Ka luhi a me ka huhū
- ʻEha poʻo
E hana ka mea mālama ola i kahi hoʻokolohua kino a nīnau e pili ana i kāu mau hōʻailona. E nīnau ʻia ʻoe inā e loli kāu mau hōʻailona ma ka manawa o ke ao a me ke kau, a me ka hōʻike ʻana i nā holoholona a me nā mea ʻē aʻe ʻē aʻe.
Hōʻike ka hoʻāʻo ʻana i ka maʻi āpau i ka pollen a i ʻole nā mea ʻē aʻe e hoʻonāukiuki i kāu mau ʻōuli. ʻO ka hoʻāʻo ʻana i ka ʻili ka hana maʻamau o ka hoʻāʻo ʻana i ka maʻi āpau.
Inā hoʻoholo kāu kauka ʻaʻole hiki iā ʻoe ke hoʻāʻo i ka ʻili, hiki i nā hoʻokolohua koko kūikawā ke kōkua me ka hōʻailona. ʻO kēia mau hoʻāʻo, i ʻike ʻia me nā hoʻokolohua IgE RAST, hiki ke ana i nā pae o nā mea pili i ka maʻi āpau.
ʻO kahi hōʻike helu piha o ke koko (CBC), i kapa ʻia ka helu eosinophil, hiki ke kōkua pū i ka diagnose i nā maʻi āpau.
OLA OLA A ME KE ALOHA ANA I NA ALLERGENS
ʻO ka lapaʻau maikaʻi loa e hōʻalo i nā pollens e hiki ai i kāu mau ʻōuli. ʻAʻole hiki ʻole ke pale aku i nā pollen āpau. Akā hiki iā ʻoe ke hana pinepine i nā hana e hōʻemi ai i kou ʻike.
Kau ʻia ʻoe i ka lāʻau lapaʻau e mālama ai i ka rhinitis āpau. ʻO ka lāʻau i kau ʻia e kāu kauka e pili ana i kāu mau ʻōuli a me ke koʻikoʻi. ʻO kou mau makahiki a inā loaʻa iā ʻoe nā kūlana olakino ʻē aʻe, e like me ka hānō, e noʻonoʻo ʻia pū kekahi.
No ka rhinitis allergic māmā, hiki i kahi holoi ihu ke kōkua i ka hemo ʻana mai ka ihu. Hiki iā ʻoe ke kūʻai i kahi wai paʻakai ma ka hale kūʻai lāʻau a hana i hoʻokahi ma ka home e hoʻohana ana i 1 kīʻaha (240 milliliters) o ka wai mehana, hapa hapalua o ka teaspoon (3 gram) o ka paʻakai, a me ka pinch o ka baking soda.
Nā mālama ʻana no ka rhinitis āpau:
ANTIHISTAMINES
Hana maikaʻi nā lāʻau i kapa ʻia ʻo antihistamines no ka mālama ʻana i nā ʻōuli o ke alohō. Hiki ke hoʻohana ʻia i ka wā ʻaʻole pinepine nā hōʻailona a ʻaʻole lōʻihi lōʻihi. E makaʻala i kēia mau mea:
- Hiki ke kūʻai ʻia nā antihistamines he nui i ka waha me ka ʻole o ka lāʻau.
- Hiki i kekahi ke hana i ka hiamoe. ʻAʻole ʻoe e hoʻokele a hana paha i nā mīkini ma hope o ka lawe ʻana i kēia ʻano lāʻau.
- Hoʻokumu ka poʻe ʻē aʻe i ka hiamoe iki a ʻaʻohe paha.
- Hana maikaʻi nā sprih ihu antihistamine no ka mālama ʻana i ka rhinitis āpau. E noi i kāu kauka inā ʻoe e hoʻāʻo mua i kēia mau lāʻau.
CORTICOSTEROID
- ʻO ka lāʻau sprasal nasal ka lāʻau lapaʻau maikaʻi loa no ka rhinitis āpau.
- Hana maikaʻi lākou ke hoʻohana ʻia nonstopop, akā hiki iā lākou ke kōkua ke hoʻohana ʻia no nā wā pōkole o ka manawa.
- Palekana ʻo Corticosteroid sprays no nā keiki a me nā mākua.
- Loaʻa nā mana he nui. Hiki iā ʻoe ke kūʻai i ʻehā mau lama me ka ʻole o kahi kuhikuhi. No nā mana ʻē aʻe, pono ʻoe i kahi kauka mai kāu kauka.
DECONGESTANTS
- He mea kōkua paha nā decongestants no ka hōʻemi ʻana i nā hōʻailona e like me ka ihu ihu.
- Mai hoʻohana i nā decongestants ʻehu nasal no 3 mau lā.
NA LAAU LAPAAU E AE
- ʻO nā mea hoʻonāuki Leukotriene nā lāʻau lapaʻau i hoʻopaʻa ʻia e ālai ai i nā leukotrienes. ʻO kēia nā kemika a ke kino e hoʻokuʻu i ka pane i kahi alena e hoʻonāukiuki hoʻi i nā ʻōuli.
PUKA ALLERGY
Paipai ʻia nā pana pālahalaha (immunotherapy) inā ʻaʻole hiki iā ʻoe ke hōʻalo i ka pollen a paʻakikī e kaohi ʻia kāu mau ʻōuli. Hoʻopili kēia i nā pana maʻamau o ka pollen āu e maʻi ai. ʻOi aku ka nui o kēlā me kēia mahele ma mua o ka mahele ma mua o ia, a hiki i kahi o ka lāʻau e kōkua ai e kaohi i kāu mau ʻōuli. Hiki ke kōkua i nā kī ʻana i ka maʻi ʻaʻai i kou kino e hoʻomaʻa i ka pollen e hoʻomaka nei i ka hopena.
KA LOHE IMMUNOTHERAPY LELE (SLIT)
Ma kahi o nā kī ʻana, hiki i ka lāʻau i waiho ʻia ma lalo o ke alelo ke kōkua no ka mauʻu a me nā ragweed āpau.
Hiki ke mālama ʻia ka hapanui o nā ʻōuli o ka rhinitis āpau. ʻO nā hihia ʻoi aku ka nui e pono i nā kī kīnā āpau.
Hiki i kekahi poʻe, ʻoi aku hoʻi i nā keiki, ke ʻoi aku i ka maʻi āpau i ka lilo ʻana o ka ʻōnaehana pale liʻiliʻi i mea hoʻonāukiuki. Akā i ka manawa o kahi mea, e like me ka pollen, ke kumu o nā maʻi āpau, hoʻomau mau ka hopena lōʻihi i ke kanaka.
Kāhea i kahi manawa me kāu mea hāʻawi inā:
- Loaʻa iā ʻoe nā hōʻailona fever fever
- Hana hou ka hana ʻana iā ʻoe ma mua
- ʻAʻole pane kāu mau ʻōuli i ka lāʻau
Hiki iā ʻoe ke pale i nā hōʻailona ma ka hōʻalo ʻana i ka pollen āu e maʻi ai. I ka wā o ka pollen, pono ʻoe e noho i loko o ka hale kahi e lewa ai, inā hiki. Hiamoe me nā puka aniani pani ʻia, a kalaiwa me nā puka aniani i ʻōwili ʻia.
Kahuna wela; Nā maʻi āpau o ka ihu; Pākuʻi kau; Rhinitis maʻi ʻaʻai kau; Nā maʻi āpau - rhinitis maʻi ʻaʻai; ʻAhaʻi ʻaʻano - rhinitis āpau
- Rhinitis Allergic - he aha e nīnau aku ai i kāu kauka - makua
- Rhinitis Allergic - he aha e nīnau aku ai i kāu kauka - keiki
- Nā hōʻailona Allergy
- Rhinitis Allergic
- Hoʻomaopopo i ka mea komo hewa
Cox DR, Wise SK, Baroody FM. ʻO ka maʻi āpau a me ka immunology o ke alaloa kiʻekiʻe. I: Flint PW, Francis HW, Haughey BH, et al, eds. Cummings Otolaryngology: Ke poʻo poʻo a me ka ʻāʻī. ʻEpekema 7 Piladelapia, PA: Elsevier; 2021: chap 35.
Milgrom H, Sicherer SH. Rhinitis Allergic. I: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. ʻO Puka Textbook of Pediatrics ʻo Nelson. 21st ed. Piladelapia, PA: Elsevier; 2020: chap 168.
Wallace DV, Dykewicz MS, Oppenheimer J, Portnoy JM, Lang DM. ʻO ka mālama ʻana i ka lāʻau Pharmacologic o ka rhinitis allergic kau o ka manawa: synopsis o ke alakaʻi ʻana mai ka pūʻali hana hui 2017 ma nā palena hana. ʻO Ann Intern Med. 2017; 167 (12): 876-881. PMID: 29181536 pubmed.ncbi.nlm.nih.gov/29181536/.